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Preparation is the Only Shortcut You Need in Surgery

A Guide to Surgical Rehearsals for Hand and Upper Extremity Transplantation

Gittings, Daniel J., MD*; Mendenhall, Shaun D., MD; Ben-Amotz, Oded, MD*; Mirrer, Joshua T., MD*; Hardaker, William M., MS*; Levin, Lawrence Scott, MD*

Techniques in Hand & Upper Extremity Surgery: December 2018 - Volume 22 - Issue 4 - p 137–140
doi: 10.1097/BTH.0000000000000211

As upper extremity transplantation is becoming more accepted worldwide, the demand for a fresh tissue cadaveric training model for this procedure is increasing and necessary to assure surgical success. Surgical rehearsals can decrease operative time, improve technique, and reduce errors made on the actual day of surgery. The purpose of this article is to describe a method for surgical rehearsal of upper extremity transplantation using cadaveric specimens based on the clinical experience of an academic institution with an active transplantation program. The logistics of rehearsal setup, equipment, and modified version of procedural checklists are described.

*Department of Orthopedic Surgery, University of Pennsylvania School of Medicine, Philadelphia, PA

Division of Plastic and Reconstructive Surgery, Department of Surgery, University of Utah School of Medicine, Salt Lake City, UT

D.J.G. and S.D.M. contributed equally to this work.

Conflicts of Interest and Source of Funding: The authors report no conflicts of interest and no source of funding.

Address correspondence and reprint requests to Lawrence Scott Levin, MD, Department of Orthopedic Surgery, University of Pennsylvania, 3737 Market Street, 6th Floor, Philadelphia, PA 19104. E-mail:

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